菏泽医学专科学校学报2024,Vol.36Issue(2) :37-39,42.DOI:10.3969/j.issn.1008-4118.2024.02.009

LEEP宫颈锥切术联合干扰素治疗宫颈上皮内瘤变的疗效

Efficacy of LEEP cone biopsy combined with interferon in the treatment of cervical intraepithelial neoplasia

杨秀玲
菏泽医学专科学校学报2024,Vol.36Issue(2) :37-39,42.DOI:10.3969/j.issn.1008-4118.2024.02.009

LEEP宫颈锥切术联合干扰素治疗宫颈上皮内瘤变的疗效

Efficacy of LEEP cone biopsy combined with interferon in the treatment of cervical intraepithelial neoplasia

杨秀玲1
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作者信息

  • 1. 定陶区妇幼保健院,山东 菏泽 274100
  • 折叠

摘要

目的 探讨干扰素联合LEEP宫颈锥切术治疗宫颈上皮内瘤变的疗效.方法 采用便利抽样法选择我院收治的宫颈上皮内瘤变患者90例,根据治疗方案的不同将其分为观察组和对照组,每组45例.两组患者均在我院实施LEEP宫颈锥切术治疗,观察组患者在此基础上联合应用干扰素治疗.比较两组患者血性白带消失时间、创面愈合时间及阴道流液时间,治疗前后白细胞介素 4 等宫颈微环境指标水平.术后随访一年比较两组患者复发率与人乳头瘤病毒转阴率.结果 观察组患者血性白带消失时间、创面愈合时间以及阴道流液时间短于对照组(P<0.05).两组患者治疗前白细胞介素4、白细胞介素12以及γ-干扰素水平比较,P>0.05;观察组患者治疗后白细胞介素 4 低于对照组,白细胞介素 12 以及γ-干扰素水平高于对照组(P均<0.05).术后随访一年发现观察组患者复发率更低,人乳头瘤病毒转阴率更高(P<0.05).结论 在LEEP宫颈锥切术治疗宫颈上皮内瘤变的基础上联合应用干扰素治疗,能够显著改善患者宫颈微环境,有利于患者术后恢复,能够增加人乳头瘤病毒清除率,可改善患者预后.

Abstract

Objective To investigate the efficacy of interferon cimbined with loop electrosurgical excision procedure(LEEP)cone biopsy in the treatment of cervical intraepithelial neoplasia.Methods A convenient sampling method was used to select 90 patients diagnosed with cervical intraepithelial neoplasia.According to the different treatment plans,they were divided into the observation group and the control group,with 45 cases in each group.Both groups underwent LEEP cone biopsy at our hospital,and the observation group received interferon therapy on the basis.Bloody leukorrhea disappearance time,wound healing,and vaginal discharge were compared between the two groups.The levels of cervical microenvironment indicators such as interleukin-4 before and after treatment were compared between the two groups.After one year of follow-up,the recurrence rate and the rate of human papillomavirus clearance were compared between the two groups.Results The bloody leukorrhea disappearance time,wound healing time,and vaginal discharge time in the observation group was shorter than that in the control group(P<0.05).Before treatment,the levels of interleukin-4,interleukin-12,and γ-interferon were compared with P>0.05;after treatment,the level of interleukin-4 in the observation group was lower than that in the control group,and the levels of interleukin-12 and γ-interferon were higher than those in the control group(P<0.05).After one year of follow-up,the observation group had a lower recurrence rate and a higher rate of human papillomavirus clearance compared to the control group(P<0.05).Conclusion The combined application of interferon and LEEP cone biopsy for cervical intraepithelial neoplasia significantly enhance the cervical microenvironment of patients,the clearance rate of human papillomavirus,and improves the prognosis of patients.

关键词

宫颈上皮内瘤变/干扰素/LEEP宫颈锥切术/疗效

Key words

Cervical intraepithelial neoplasia/Interferon/LEEP cone biopsy/Efficacy

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出版年

2024
菏泽医学专科学校学报
菏泽医学专科学校

菏泽医学专科学校学报

影响因子:0.438
ISSN:1008-4118
参考文献量10
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